<%@page import="com.sjyy.accountpatient.model.*" %>
<%@ page contentType="text/html;charset=UTF-8" %>
<%@ include file="/commons/taglibs.jsp" %>

	<input type="hidden" id="patientId" name="patientId" value="${accountPatient.patientId}"/>

	<tr>	
		<td class="tdLabel">
			<span class="required">*</span>accountId:
		</td>		
		<td>
		<form:input path="accountId" id="accountId" cssClass="required validate-integer max-value-2147483647" maxlength="10" />
		<font color='red'><form:errors path="accountId"/></font>
		</td>
	</tr>	
	
	<tr>	
		<td class="tdLabel">
			nickname:
		</td>		
		<td>
		<form:input path="nickname" id="nickname" cssClass="" maxlength="32" />
		<font color='red'><form:errors path="nickname"/></font>
		</td>
	</tr>	
	
	<tr>	
		<td class="tdLabel">
			iconUrl:
		</td>		
		<td>
		<form:input path="iconUrl" id="iconUrl" cssClass="" maxlength="128" />
		<font color='red'><form:errors path="iconUrl"/></font>
		</td>
	</tr>	
	
	<tr>	
		<td class="tdLabel">
			<span class="required">*</span>name:
		</td>		
		<td>
		<form:input path="name" id="name" cssClass="required " maxlength="32" />
		<font color='red'><form:errors path="name"/></font>
		</td>
	</tr>	
	
	<tr>	
		<td class="tdLabel">
			<span class="required">*</span>tel:
		</td>		
		<td>
		<form:input path="tel" id="tel" cssClass="required " maxlength="11" />
		<font color='red'><form:errors path="tel"/></font>
		</td>
	</tr>	
	
	<tr>	
		<td class="tdLabel">
			<span class="required">*</span>address:
		</td>		
		<td>
		<form:input path="address" id="address" cssClass="required " maxlength="256" />
		<font color='red'><form:errors path="address"/></font>
		</td>
	</tr>	
	
		